DHEW IND HLTH SV HLTH SVS&MNTAL HLTH ADM – NPI #1508887993
Clinic/Center

DHEW IND HLTH SV HLTH SVS&MNTAL HLTH ADM is an AHC clinic located in FORT DUCHESNE, UT. NPPES has assigned the NPI number 1508887993 to DHEW IND HLTH SV HLTH SVS&MNTAL HLTH ADM on July 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QP0904X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Public Health, Federal

The NPI profile was last updated on Feb 23, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DHEW IND HLTH SV HLTH SVS&MNTAL HLTH ADM below.

NPI Profile for
DHEW IND HLTH SV HLTH SVS&MNTAL HLTH ADM

NPI Number
1508887993
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DHEW IND HLTH SV HLTH SVS&MNTAL HLTH ADM
Other name(s)
All associated names:
Doing Business As (dba)
Fort Duchesne PHS Indian Health Center
Doing Business As (dba)
Uintah & Ouray Service Unit
Primary location
6932 EAST 1400 SOUTH
FORT DUCHESNE, UT 84026
Phone: (435) 722-5122 Fax: (435) 722-9137
Mailing address
6932 EAST 11400 SOUTH
FORT DUCHESNE, UT 84026
Phone: (435) 722-5122 Fax: (435) 722-9137
Organization Subpart
No
Authorized Official
MAURICE JAMES
CHIEF EXECUTIVE OFFICER
Phone: (435) 725-6888
Updated
Certification Date
Feb 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DHEW IND HLTH SV HLTH SVS&MNTAL HLTH ADM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSSAZAZ0522260
medicaidUT700000000009
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP0904X
- Clinic/Center / Public Health, Federal (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.